脓肿切开引流术 (2)演示文稿
- 格式:ppt
- 大小:438.50 KB
- 文档页数:15
臀部脓肿切开引流术手术记录范文英文回答:I underwent a surgery to drain an abscess on my buttocks recently, and I wanted to share my surgical record with you. The procedure was performed under local anesthesia, and I was awake during the entire operation. The surgeon made an incision on the abscess to allow the pus to drain out, and then inserted a small drainage tube to prevent the abscess from filling up again.The surgery went smoothly, and I didn't feel any pain during the procedure thanks to the anesthesia. After the surgery, I was instructed to keep the area clean and dry, and to change the dressing regularly. I was also prescribed antibiotics to prevent infection and promote healing.I experienced some discomfort and pain in the days following the surgery, but it gradually improved as the abscess drained and the wound healed. I made sure to followmy doctor's instructions closely and attended all follow-up appointments to ensure proper healing.Overall, the surgery was successful in treating the abscess on my buttocks, and I am grateful for the medical team who took care of me during the procedure.中文回答:最近我做了一个手术来排脓肿,我想和大家分享一下我的手术记录。
脓肿切开引流术手术记录范文患者姓名:[患者姓名]性别:[性别]年龄:[年龄]住院号:[住院号]手术日期:[手术日期]一、术前诊断。
[具体部位]脓肿。
二、手术名称。
三、手术者。
[手术者姓名]四、助手。
[助手姓名]五、麻醉方式。
局部麻醉([具体麻醉药物名称及剂量])六、手术经过。
1. 患者体位与消毒。
- 患者取仰卧位,患部充分暴露。
常规消毒手术区域,范围为以脓肿为中心,半径15cm的区域,铺无菌巾单。
2. 脓肿定位与切开。
- 仔细触诊脓肿部位,波动感明显处确定为切开点。
用1%利多卡因溶液在预定切开部位做局部浸润麻醉,待麻醉生效后,在脓肿波动感最明显处,用手术刀沿皮纹方向做一适当长度(约[X]cm)的切口。
切开皮肤、皮下组织时,可见脓液流出,色泽[描述脓液颜色,如黄色、黄绿色等],质地[稀薄、粘稠等],有[特殊气味描述,如臭味等]。
3. 脓液引流与探查。
- 用血管钳轻轻撑开切口,以利脓液充分引流。
然后用生理盐水反复冲洗脓腔,尽量清除脓腔内的坏死组织和脓液。
探查脓腔大小,发现脓腔向[具体方向,如深部、侧方等]延伸,深度约[X]cm,宽度约[X]cm。
4. 放置引流条。
- 根据脓腔大小,选择合适的引流条([引流条类型,如凡士林纱布引流条等]),将引流条一端轻轻放入脓腔底部,另一端留于切口外,确保引流通畅。
5. 切口处理。
- 用丝线间断缝合切口两端,中间部分敞开以便引流。
再次用生理盐水清洗切口周围皮肤,覆盖无菌纱布,用胶布固定。
七、术中情况。
1. 出血量。
- 术中出血量约[X]ml。
2. 脓液量。
- 共引出脓液约[X]ml。
3. 患者耐受情况。
- 患者在手术过程中生命体征平稳,对手术耐受良好,未出现特殊不适反应。
八、标本送检。
取部分脓液送细菌培养及药敏试验,以指导后续抗生素的使用。
皮肤脓肿切开引流术手术记录范文英文回答:Patient: [Patient Name]Date: [Date of Procedure]Procedure: Incision and Drainage of Skin Abscess. Preoperative Diagnosis:Skin abscess.Postoperative Diagnosis:Skin abscess.Anesthesia:Local anesthesia with 1% lidocaine.Procedure:The patient was placed in the supine position. The skin over the abscess was prepared and draped in a sterile fashion. The abscess was located on the [location of abscess]. The skin was infiltrated with 1% lidocaine for local anesthesia.A 1 cm incision was made over the most fluctuant area of the abscess. Purulent material was expressed from the incision. The cavity was gently irrigated with sterile saline. A Penrose drain was placed into the cavity and secured with a suture.The incision was closed with interrupted 4-0 nylon sutures. A sterile dressing was applied.Estimated Blood Loss:Minimal.Complications:None.Postoperative Instructions:1. Keep the wound clean and dry.2. Change the dressing as directed.3. Take pain medication as needed.4. Follow up with the physician in 1 week for suture removal.中文回答:患者, [患者姓名]日期, [手术日期]手术,皮肤脓肿切开引流术。
操作演示——脓肿切开术操作者准备:戴好帽子、口罩,手术前常规刷手三遍物品准备:碘伏,棉球,卵圆钳,弯盘无菌手套,洞巾,5ml注射器,2%利利多卡因,医用纱块。
手术刀柄,手术尖刀,5ml注射器,止血钳,凡士林纱布(填塞),双氧水医用胶布1.选择切口位置。
确定切口的位置,应选择脓肿波动感最明显处进行。
2常规消毒(不带手套))对切口引流部的皮肤区域常规消毒,持镊子或者卵圆钳夹取碘伏棉球,以切口为中心,由外向内,行常规消毒皮肤3遍,消毒范围距离脓肿周围5cm,消毒完成后。
3戴无菌手套,铺盖无菌洞巾。
麻醉用利多卡因行局部浸润麻醉(取2%利多卡因,沿拟定的手术切口一端进针,回抽无血后打一小皮丘,然后沿切口线进针,在皮下注射局麻药物,由远处向脓腔附近缓慢推进,直至切口的另一端,避免针头接触感染区域)。
麻醉后拔出注射器,用纱块按压1-2分钟。
4抽液送检用5ml的注射器先穿刺抽脓,确定脓肿部位,并留作细菌培养。
5切开脓肿,探查.安装刀片,于脓肿中央用尖刀作一适当的刺入,然后用刀向上反挑切一小切口,即可排出脓液。
待脓液排出后,以手指伸入脓腔,探查其大小、位置以及形状,据此再用手术刀延长切口,扩开脓腔内的纤维隔膜以通畅引流。
6引流,填塞,消毒,固定。
引流干净后,用生理盐水冲洗脓腔,再用双氧水冲洗,在用生理盐水冲洗,止血钳凡士林纱布填塞脓腔,填塞纱布时不要过紧,由外向内消毒切口周围皮肤,镊子持几块纱布覆盖切口,撤洞巾,胶布固定。
7整理物品:刀片,缝针,安培应该放到锐器盒中。
剩余医疗废物放到黄色垃圾桶里。
你好,你的手术已经完成报告考官,操作完毕注意:脓肿切开术脓肿切开术是针对已经成熟的脓肿,行局部切开引流脓液的一项外科技术,通过充分暴露脓腔、引流脓液以及合理的使用抗菌药物,能够促进炎症消退及伤口愈合。
二、关键步骤讲解:1.脓肿切开的部位:应选择脓肿波动感最明显处进行,切开时,是以手术刀在脓肿上方垂直向下进刀,切开一个小口,主要目的是先行引流出部分脓液,减少局部皮肤表面张力;注意:进刀时不要过深,以免穿透脓腔底部损伤正常组织;2.延长切口时,应采用反挑法进行:操作中翻转刀片,使刀刃朝上,由里向外挑开脓肿壁,起到延长切口,彻底排出脓液的作用。
背部脓肿切开引流术手术记录范文英文回答:Procedure Note: Incision and Drainage of Back Abscess.Pre-Operative Diagnosis:Back abscess.Post-Operative Diagnosis:Same.Procedure Performed:Incision and drainage of back abscess.Operative Details:The patient was positioned prone on the operating table.The operative site was prepped and draped in the usualsterile manner.A 5-cm incision was made over the fluctuant area on the patient's back. Purulent fluid was encountered upon incision. The abscess cavity was gently irrigated with normal saline and a Penrose drain was placed.The incision was closed with interrupted 4-0 nylon sutures. The drain was secured with a stitch.The patient tolerated the procedure well and was discharged home the same day with antibiotics and instructions to follow up with their primary care physician.Complications:None.Pathology Report:Pending.Dictated By:[Your Name]中文回答:手术记录,背部脓肿切开引流术。